In this video, we would like to present a case that highlights one of the greatest advantages of being a vitreoretinal surgeon: when a complication occurs during anterior segment surgery, we can manage and, when necessary, repair that complication ourselves.
An 82-year-old male patient experienced a total nucleus drop during cataract surgery following a combined anterior and posterior capsular rupture during hydrodissection. Two days later, a 23-gauge pars plana vitrectomy was performed through a temporal approach. After core vitrectomy, perfluorodecalin was used to support and mobilize the dropped nucleus, which was carefully brought into the anterior chamber through the anterior capsular opening and removed using phacoemulsification. A three-piece IOL was then implanted in the sulcus, with the haptics positioned in the sulcus and the optic captured beneath the remaining anterior capsule. This technique provided a well-centered and stable IOL despite the extensive capsular damage.
The YouTube video provides a detailed explanation of the surgery (click here to watch the video).
Vitreoretinal Surgeon: M. Giray Ersoz, MD, FEBO
Memorial Bahçelievler Hospital, Department of Ophthalmology, Istanbul, Turkey
Arel University School of Medicine, Department of Ophthalmology, Istanbul, Turkey
Instagram accounts: @retina.review and @retina.dr.girayersoz
